| NPI | 1417340357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LOUISE ARMOUR Operator 573-651-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 041432) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |